careers-cotiviti

Overview The Staff Gen AI Scientist will apply knowledge and experience to real world problems and seek to improve health quality outcomes and reduce the cost of healthcare. With access to dedicated on premise and cloud based big data solutions, the team can work with a vast amount of structured and

Overview Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their fina

Overview The Sr. Technical Product Owner (STPO) is responsible for driving solution definitions that support business ideas and product concepts that can be turned into application software solutions. The STPO works at a team, program, and enterprise level, gathering needs and translating those into

Overview A Revenue Cycle Specialist 2 is a member of the Revenue Cycle team within the Yield Management Division. The Specialist 2 is responsible for moderate to complex levels of recurring and/or daily functions and processes that are necessary for business execution. This would include the reconci

Overview The Product Manager (within Payment Accuracy Product Suite) will be responsible for product management and development supporting Cotiviti payment integrity prospective products Payment Policy Management (PPM) and Coding Validation (CV). This role is dedicated to creating and optimizing pro

Overview The Data Governance & Analytics Architecture Director is a leader within the Health Enablement Analytics organization responsible for ensuring all data, analytics, and AI initiatives are built on a scalable, standardized, and governed foundation. This role serves as a subject matter expert

Overview The Product Marketing Director owns go-to-market strategy and execution for an assigned solution area within Cotiviti's portfolio. This particular individual contributor role will support our Quality, HEDIS and Stars solutions by working directly with our Product, Operations and Sales/Clien

Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role. This role aligns with our pre-pay Fraud Waste & Abuse team. Responsib

Overview The Clinical Consultant support Clinical Services teams in the validation of quality and processes consistency on the CPE editing engine. Provides support and subject matter expertise on Coding Validation (CV) to both clients and internal stakeholders during the planning, implementation, go

Overview The Enterprise Marketing Director executes marketing initiatives that support Cotiviti's established enterprise narrative and brand positioning under guidance from marketing leadership - work that spans every portfolio rather than belonging to one. This role supports development and deploym

Overview The Content Solutions Analyst I is a key member of the clinical operations and content team responsible for the research, quality assurance, and opportunity analysis associated with new medical policies. In addition, this position will be responsible for review and analysis of current medic

Overview The Client Policy Manager I manages client payment policies by ensuring client’s payment policy is accurate, up-to-date, and complete; executes client-specific requests with guidance from internal team and acts as the internal and external client team liaison. Responsibilities This position

Overview The Senior Manager, Audit Manager Training leads the design, delivery, and continuous improvement of training and capability-building programs for audit managers and quality audit staff across CCV. This leader owns the curriculum that prepares auditors and audit managers to apply audit guid

Overview The Senior Technical Specialist will collaborate closely with the RCA - Content & Enablement Department, the Implementations Team, and the Audit Operations and R&D teams. This role is responsible for the intake, logic development, deployment, and maintenance of Business Rules that support R

Overview We are a Healthcare Data Analytics company looking for Senior Director, Software Engineering within our Payment business. In this role you will lead, direct, and manage the cross-functional technology delivery team. You will manage all the operational aspects of the software development to

Overview We are seeking a highly experienced Principal AI Engineer to lead the architecture, design, and development of a cutting-edge agentic framework and centralized AI platform that serves as the foundation for the organization's AI initiatives. As the technical lead for the Risk Adjustment (RA)

Overview A Lead Solution Consultant will play a pivotal role in driving Cotiviti’s growth by combining deep technical expertise with strong pre-sales acumen across the healthcare payer landscape. This is a client-facing role requiring the ability to lead technical discovery, perform detailed assessm